File #: 22-1458    Version: 1 Name: Risk Management Workers' Compensation Settlement (Claim No. 202110751)
Type: Workers' Compensation Claims (Risk Management) Status: Approved
File created: 1/24/2022 In control: Finance Committee
On agenda: 2/9/2022 Final action:
Title: Employee: Kielczewski, Marcin Job Title: 1360.Correctional Officer Department: Department Of Corrections Date of Incident: 5/31/2021 Incident/Activity: The employee was escorting a detainee and hit their leg on the closed door. Accidental Injuries: Multiple Lower Extremities Petition and Order No: 21 WC 015151 Claim Amount: $21,520.29 Attorney: Al Koritsaris, Argionis & Associates Date of Subcommittee Approval: N/A Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.
Indexes: DEANNA ZALAS, Director, Department of Risk Management

title

Employee: Kielczewski, Marcin

Job Title: 1360.Correctional Officer

Department: Department Of Corrections

Date of Incident: 5/31/2021

Incident/Activity: The employee was escorting a detainee and hit their leg on the closed door.

Accidental Injuries: Multiple Lower Extremities

Petition and Order No: 21 WC 015151

Claim Amount: $21,520.29

Attorney: Al Koritsaris, Argionis & Associates

Date of Subcommittee Approval: N/A

Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.

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